BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4162504 · Received October 10, 2014

    Report

    Report Number
    1531186-2014-04826
    Date Received
    October 10, 2014
    Report Date
    September 23, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER ALLEGED FRAME WAS BENT CAUSING CROSSBAR TO NOT SIT IN THE SEAT SADDLES PROPERLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    644019 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT TREX20RP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other